An unusual case of a tibial metastasis as the first clinical presentation of a serous papillary carcinoma of the ovarian epithelial type of the testis

Among testicular neoplasms, ovarian-type epithelial tumors constitute an exceedingly rare group, with only a few cases reported in the literature. We describe the case of an 82-year-old man, presented with complaints of right leg pain and difficulty walking, who was found to have a large right tibia...

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Bibliographic Details
Published in:International cancer conference journal 2023-07, Vol.12 (3), p.177-184
Main Authors: Napoletano, Maria, Bartocci, Margherita, Perna, Carlo, Vocino, Emanuele, Segoni, Antonella
Format: Article
Language:English
Subjects:
Aorta
Bone density
Bone marrow
Cancer
Case Report - Diagnosis
Case reports
Chemotherapy
Computed tomography
Edema
Lymph nodes
Lymphatic system
Medical imaging
Medicine
Medicine & Public Health
Metastases
Metastasis
Mutation
Oncology
Ovarian carcinoma
Ovaries
Pathogenesis
Spermatic cord
Surgical Oncology
Testes
Testicular cancer
Thorax
Tumors
Ultrasonic imaging
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Summary:Among testicular neoplasms, ovarian-type epithelial tumors constitute an exceedingly rare group, with only a few cases reported in the literature. We describe the case of an 82-year-old man, presented with complaints of right leg pain and difficulty walking, who was found to have a large right tibial metastasis of unknown primary origin. Whole body CT scan did not reveal any cranial, thoracic or abdominal tumor masses, but it showed abnormal para-aortic lymph nodes and right spermatic cord swelling. An extemporary ultrasound examination found a right testicular mass. The patient underwent radical orchiectomy, and the diagnosis of a serous papillary carcinoma of the ovarian epithelial type of the testis was made. To the best of our knowledge, this is the first case in the literature of isolated bone metastasis from ovarian-type epithelial tumor of testis.
ISSN:2192-3183
2192-3183
DOI:10.1007/s13691-023-00608-8